{include file="header.tpl" title="MyComic-Formulaire"}

<!-- Fait par [Mathieu FOURNIAL - Romain MIOR] -->

<!-- Titre -->
<h1>Formulaire de création du compte client</h1>
<!-- Fomulaire -->
<fieldset>
    <legend>Formulaire compte client</legend>
    <form action="#" method="post">
        <div><label for="id">Identifiant :</label><input type="text" name="id" id="id" /></div>
        <div><label for="login">Login :</label><input type="text" name="login" id="login" /></div>
        <div><label for="password">Password :</label><input type="password" name="password" id="password" /></div>
        <div><label for="nom">Nom :</label><input type="text" name="nom" id="nom" /></div>
        <div><label for="prenom">Prénom :</label><input type="text" name="prenom" id="prenom" /></div>
        <div><label for="date_naissance">Date de naissance :</label>
            {html_select_date start_year=1900 end_year=2012 month_names=$MonthName}
        </div>
        <div><label for="email">Email :</label><input type="text" name="email" id="email" /></div>
        <div><label for="adresse">Adresse :</label><input type="text" name="adresse" id="adresse" /></div>
        <div><label for="cp">Code postal :</label><input type="text" name="cp" id="cp" /></div>
        <div><label for="ville">Ville :</label><input type="text" name="ville" id="ville" /></div>
        <div><label for="tel">Téléphone :</label><input type="text" name="tel" id="tel" /></div>
        <div><label for="sexe">Sexe :</label><select name="sexe" id="sexe">
            <option value="M" selected="selected">Masculin</option>
            <option value="F">Féminin</option>
        </select></div>
        <div><input type="submit" name="bouton" class="bouton" value="Envoyer" />
        <input type="reset" name="bouton" class="bouton" value="Effacer" /></div>
    </form>
</fieldset>
                
{include file="footer.tpl"}